I 119THCONGRESS 1 STSESSION H. R. 48 To amend the Public Health Service Act to ensure that women seeking an abortion receive an ultrasound and the opportunity to review the ultrasound before giving informed consent to receive an abortion. IN THE HOUSE OF REPRESENTATIVES JANUARY3, 2025 Mr. B IGGSof Arizona (for himself, Mr. CRENSHAW, and Mr. BURLISON) in- troduced the following bill; which was referred to the Committee on En- ergy and Commerce A BILL To amend the Public Health Service Act to ensure that women seeking an abortion receive an ultrasound and the opportunity to review the ultrasound before giving informed consent to receive an abortion. Be it enacted by the Senate and House of Representa-1 tives of the United States of America in Congress assembled, 2 SECTION 1. SHORT TITLE. 3 This Act may be cited as the ‘‘Ultrasound Informed 4 Consent Act’’. 5 VerDate Sep 11 2014 18:49 Jan 28, 2025 Jkt 059200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\H48.IH H48 ssavage on LAPJG3WLY3PROD with BILLS 2 •HR 48 IH SEC. 2. AMENDMENT TO THE PUBLIC HEALTH SERVICE 1 ACT. 2 The Public Health Service Act (42 U.S.C. 201 et 3 seq.) is amended by adding at the end the following: 4 ‘‘TITLE XXXIV—INFORMED 5 CONSENT 6 ‘‘SEC. 3401. DEFINITIONS. 7 ‘‘In this title: 8 ‘‘(1) A BORTION.—The term ‘abortion’ means 9 the intentional use or prescription of any instru-10 ment, medicine, drug, substance, device, or method 11 to terminate the life of an unborn child, or to termi-12 nate the pregnancy of a woman known to be preg-13 nant, with an intention other than— 14 ‘‘(A) to produce a live birth and preserve 15 the life and health of the child after live birth; 16 or 17 ‘‘(B) to remove an ectopic pregnancy, or to 18 remove a dead unborn child who died as the re-19 sult of a spontaneous abortion, accidental trau-20 ma, or a criminal assault on the pregnant fe-21 male or her unborn child. 22 ‘‘(2) A BORTION PROVIDER.—The term ‘abortion 23 provider’ means any person legally qualified to per-24 form an abortion under applicable Federal and State 25 laws. 26 VerDate Sep 11 2014 18:49 Jan 28, 2025 Jkt 059200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H48.IH H48 ssavage on LAPJG3WLY3PROD with BILLS 3 •HR 48 IH ‘‘(3) UNBORN CHILD.—The term ‘unborn child’ 1 means a member of the species homo sapiens, at any 2 stage of development prior to birth. 3 ‘‘(4) U NEMANCIPATED MINOR .—The term 4 ‘unemancipated minor’ means a minor who is sub-5 ject to the control, authority, and supervision of his 6 or her parent or guardian, as determined under 7 State law. 8 ‘‘(5) W OMAN.—The term ‘woman’ means a fe-9 male human being whether or not she has reached 10 the age of majority. 11 ‘‘SEC. 3402. REQUIREMENT OF INFORMED CONSENT. 12 ‘‘(a) R EQUIREMENT OF COMPLIANCE BY PRO-13 VIDERS.—Any abortion provider in or affecting interstate 14 or foreign commerce, who knowingly performs any abor-15 tion, shall comply with the requirements of this title. 16 ‘‘(b) P ERFORMANCE AND REVIEW OF 17 U LTRASOUND.—Prior to a woman giving informed con-18 sent to having any part of an abortion performed, the 19 abortion provider who is to perform the abortion, or an 20 agent under the supervision of the provider, shall— 21 ‘‘(1) perform an obstetric ultrasound on the 22 pregnant woman; 23 ‘‘(2) provide a simultaneous explanation of 24 what the ultrasound is depicting; 25 VerDate Sep 11 2014 18:49 Jan 28, 2025 Jkt 059200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H48.IH H48 ssavage on LAPJG3WLY3PROD with BILLS 4 •HR 48 IH ‘‘(3) display the ultrasound images so that the 1 pregnant woman may view them; and 2 ‘‘(4) provide a complete medical description of 3 the ultrasound images, which shall include— 4 ‘‘(A) the dimensions of the embryo or 5 fetus; 6 ‘‘(B) cardiac activity if present and visible; 7 and 8 ‘‘(C) the presence of external members and 9 internal organs if present and viewable. 10 ‘‘(c) A BILITY TOTURNEYESAWAY.—Nothing in 11 this section shall be construed to prevent a pregnant 12 woman from turning her eyes away from the ultrasound 13 images required to be displayed and described to her. Nei-14 ther the abortion provider nor the pregnant woman shall 15 be subject to any penalty under this title if the pregnant 16 woman declines to look at the displayed ultrasound im-17 ages. 18 ‘‘SEC. 3403. EXCEPTION FOR MEDICAL EMERGENCIES. 19 ‘‘(a) E XCEPTION.—The provisions of section 3402 20 shall not apply to an abortion provider if the abortion is 21 necessary to save the life of a mother whose life is endan-22 gered by a physical disorder, physical illness, or physical 23 injury, including a life-endangering physical condition 24 caused by or arising from the pregnancy itself. 25 VerDate Sep 11 2014 18:49 Jan 28, 2025 Jkt 059200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\H48.IH H48 ssavage on LAPJG3WLY3PROD with BILLS 5 •HR 48 IH ‘‘(b) CERTIFICATION.—Upon a determination by an 1 abortion provider under subsection (a) that an abortion 2 is necessary to save the life of a mother, such provider 3 shall include in the medical file of the pregnant woman 4 a truthful and accurate certification of the specific medical 5 circumstances that support such determination. 6 ‘‘SEC. 3404. PENALTIES FOR FAILURE TO COMPLY. 7 ‘‘(a) C IVILPENALTIES.— 8 ‘‘(1) I N GENERAL.—The Attorney General may 9 commence a civil action in Federal court under this 10 section against any abortion provider who knowingly 11 commits an act constituting a violation of this title 12 for a penalty in an amount not to exceed— 13 ‘‘(A) $100,000 for each such violation that 14 is adjudicated in the first proceeding against 15 such provider under this title; and 16 ‘‘(B) $250,000 for each violation of this 17 title that is adjudicated in a subsequent pro-18 ceeding against such provider under this title. 19 ‘‘(2) N OTIFICATION.—Upon the assessment of 20 a civil penalty under paragraph (1), the Attorney 21 General shall notify the appropriate State medical li-22 censing authority. 23 ‘‘(b) P RIVATERIGHT OFACTION.—A woman upon 24 whom an abortion has been performed in violation of this 25 VerDate Sep 11 2014 18:49 Jan 28, 2025 Jkt 059200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\H48.IH H48 ssavage on LAPJG3WLY3PROD with BILLS 6 •HR 48 IH title may commence a civil action against the abortion pro-1 vider for any violation of this title for actual and punitive 2 damages. For purposes of the preceding sentence, actual 3 damages are objectively verifiable money damages for all 4 injuries.’’. 5 SEC. 3. PREEMPTION. 6 Nothing in this Act or the amendment made by this 7 Act shall be construed to preempt any provision of State 8 law to the extent that such State law establishes, imple-9 ments, or continues in effect disclosure requirements re-10 garding abortion or penalties for failure to comply with 11 such requirements that are more extensive than those pro-12 vided under the amendment made by this Act. 13 SEC. 4. SEVERABILITY. 14 If any provision of this Act or the amendment made 15 by this Act, or any application thereof, is found to be un-16 constitutional, the remainder of this Act and the amend-17 ment made by this Act, and any application thereof, shall 18 not be affected by such finding. 19 Æ VerDate Sep 11 2014 18:49 Jan 28, 2025 Jkt 059200 PO 00000 Frm 00006 Fmt 6652 Sfmt 6301 E:\BILLS\H48.IH H48 ssavage on LAPJG3WLY3PROD with BILLS